ERAYNA POLES GRANT CRNP NPI 1457928988

NPI Information

NPI: 1457928988
Provider Name: ERAYNA POLES GRANT, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4917 WILLES VISION DR
BOWIE, MD
ZIP 20720
Phone: (240) 351-8974
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Erayna Poles Grant, CRNP is a family nurse practitioner in Bowie, MD. Erayna Poles Grant, CRNP NPI is 1457928988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4917 WILLES VISION DR
BOWIE, MD
ZIP 20720-670
Phone: (240) 351-8974

The enumeration date for this NPI number is 6/3/2021 and was last updated on 6/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R202308	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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